Healthcare practice requires connecting with patients, co-constructing health narratives, and collaborating with them to address the numerous factors that pose challenges to their health. While there have been substantial improvements in healthcare regarding curative medicine, largely driven by both scientific advances and the need to seek medical care created by the pain and suffering of illness and disease, preventive medicine continues to lag in its impact on patient health and wellness. A significant contributor to this lag is the limited amount of time available during the clinical encounter, which constrains patients and clinicians to focus on acute and chronic illness and disease management, rather than the promotion of health and wellness. BAP-MI is a novel, integrated model of brief action planning (BAP) and motivational interviewing (MI), two effective interventions for promoting patient self-management and health behavior change. This chapter explores BAP-MI as a pragmatic, integrated approach to the clinical interview and demonstrates how it can be an effective and efficient model for preventive healthcare, with a focus on the medical specialty of preventive medicine and lifestyle medicine. Finally, the chapter proposes a new structure of the clinical interview, “the History of Present Health Status” (HPHS), to provide a guiding template for preventive healthcare. This new template assumes particular importance for clinical encounters that are not focused on understanding or managing a current acute or chronic illness; that is, for medical encounters for which the traditional template of the “History of Present Illness” (HPI) is not relevant or helpful for guiding the co-construction of a meaningful medical narrative.